Vücut Dışı Şok Dalga Litotripsi Başarısızlığı Sonrası Retrograd İntrarenal Cerrahinin Zamanlaması Sonuçları Etkiler mi?

Year 2025, Volume: 17 Issue: 3, 132 - 138, 30.09.2025

Özgür Arıkan , Ferhat Keser , Ayberk İplikçi , Hüseyin Özgür Kazan , Ahmet Keleş , Ilkın Hamıdzada , Muhammet Talha Nuroğlu , Adnan Başaran , Meftun Çulpan , Asıf Yıldırım

https://doi.org/10.54233/endourolbull-1707846

Abstract

Amaç: Bu çalışmanın amacı, ekstrakorporeal şok dalga litotripsi (SWL) sonrası retrograd intrarenal cerrahinin (RIRS) zamanlamasının böbrek taşı tedavi sonuçlarına etkisini belirlemektir.
Gereç ve Yöntemler: Bu retrospektif çalışmaya, 2020 ile 2024 yılları arasında en az iki başarısız SWL seansından sonra böbrek taşları için RIRS uygulanan 138 hasta dahil edildi. Hastalar SWL ile RIRS arasındaki zaman aralığına göre üç gruba ayrıldı: 7-14 gün (Grup 1), 15-22 gün (Grup 2) ve 23-30 gün (Grup 3). Demografik veriler, taş özellikleri, operasyon süresi, taşsızlık oranı ve komplikasyon oranları karşılaştırıldı.
Bulgular: Taşsızlık oranları üç grupta da benzerdi (Grup 1: %85,4, Grup 2: %84,8, Grup 3: %86,3, p=0,978). Gruplar arasında medyan ameliyat süresi (p=0,249), medyan hastanede kalış süresi (p=0,865), perioperatif komplikasyonlar (p=0,884) veya postoperatif komplikasyonlar (p=0,962) açısından istatistiksel anlamlı bir fark yoktu.
Sonuç: Başarısız SWL’den sonra RIRS zamanlamasının böbrek taşları için tedavi sonuçlarını önemli ölçüde etkilemediği görülmektedir. Bu bulgular SWL başarısızlığından sonra RIRS planlamada esnek olunabileceğini göstermektedir.

Keywords

endoüroloji , ekstrakorporeal şok dalga litotripsi , retrograd intrarenal cerrahi , ürolitiyazis , zamanlama

Ethical Statement

İstanbul Medeniyet Üniversitesi Tıp Fakültesi Etik Kurulu, sunulan çalışmanın başlatılmasını onaylamıştır (Klinik çalışma numarası: 2025-GOSEK-0027, Tarih: 2025/01/22).

Supporting Institution

Bu araştırma, kamu, ticari veya kar amacı gütmeyen sektörlerdeki fon kuruluşlarından herhangi bir özel hibe almamıştır.

Does Timing of Retrograde Intrarenal Surgery Following Extracorporeal Shock Wave Lithotripsy Failure Influence the Outcomes?

Abstract

Objective: The objective of this study is to determine the impact of the timing of retrograde intrarenal surgery (RIRS) following extracorporeal shock wave lithotripsy (SWL) on renal stone treatment outcomes.
Material and Methods: This retrospective study included 138 patients who underwent RIRS for renal stones after at least two failed SWL sessions between 2020 and 2024. Patients were divided into three groups based on the time interval between SWL and RIRS: 7-14 days (group 1), 15-22 days (group 2), and 23-30 days (group 3). Demographic data, stone characteristics, operative time, stone-free rate, and complication rates were compared.
Results: Stone-free rates were similar across the three groups (group 1: 85.4%, group 2: 84.8%, group 3: 86.3%, p=0.978). There were no statistically significant differences between the groups in terms of median operative time (p=0.249), median length of hospital stays (p=0.865), perioperative complications (p=0.884), or postoperative complications (p=0.962).
Conclusions: The timing of RIRS after failed SWL does not appear to impact treatment outcomes for renal stones significantly, and these findings suggest flexibility in scheduling RIRS after SWL failure.

Keywords

endourology , extracorporeal shock wave lithotripsy , retrograde intrarenal surgery , timing , urolithiasis

Ethical Statement

The Ethics Committee of the Istanbul Medeniyet University Faculty of Medicine approved (Clinical trial number: 2025-GOSEK-0027, Date: 2025/01/22) the commencement of the presented study.

Supporting Institution

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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